OUM - ONLINE APPLICATION

REGISTRATION FORM
UKR 19

SECTION A
Acknowledgement of Acceptance

Fullname	:	MOHD MEZLAN BIN HAMAT
NRIC / Passport NO	:	700521065027
Correspondence Address	:	NO 14 JALAN ABU MOSMO 2/6, TAMAN AMANAH BANDAR JENJAROM, JENJAROM, 42600 SELANGOR, MALAYSIA
Email Address	:	mezlansrinde@gmail.com
Contact No.	:	(H)	0136929144(M)
Programme Offered	:	MASTER OF ISLAMIC STUDIES
Semester Intake	:	SEPTEMBER 2021
Learning Centre	:	BANTING LEARNING CENTRE
I hereby confirm that I ACCEPT / DO NOT ACCEPT and agree to be bound by the Terms and Conditions of the program offered.
Signature	:	..........................	Date	:	..........................
Name	:	..........................
NOTES : Should you need to edit/update the information above, please inform the staff at the Registration Counter.

FOR OFFICE USE ONLY
Applicant ID	:	102773313	Staff User ID	:	..........................
Update I-Campus	:		Signature	:	..........................
			Date	:	..........................

SECTION B
Course Registration for Semester SEPTEMBER 2021

NO	TICK ()	COURSE CODE	COURSE TITLE	CREDIT
1		AMSS5103	KAEDAH PENGAJIAN SYARIAH	3
2		AMSU5103	KAEDAH PENGAJIAN USULUDDIN	3
TOTAL

Open Course :

COURSE CODE

COURSE TITLE

MODULE TAKEN (

)

GUIDE TO ACCESS OUM PORTAL

Visit http://www.oum.edu.my
Click on 'Student/Tutor Login'
Click 'First Time Login' and enter your Identity Card Number
(Eg : 770701026916)
Create your username and password

Any enquiries regarding OUM Portal, please email to:
mylms_admin@oum.edu.my
Note : Access to OUM Portal will be activated within 3 days after your registration date.

REGISTRATION CHECKLIST

REGISTRATION CHECKLIST : STUDENT'S COPY

Name	: Mohd Mezlan Bin Hamat
NRIC	: 700521065027
Registration Status	: [ ] Register [ ] Pre - Register

No	Items	Received / Reviewed
1	National Identification Card (NRIC)
2	Conditional Letter of Admission.
3	Completed Declaration Sheet.
4	Original AND a copy of RECOGNISED academic certificate/s.
5	The verification of recognized certificate(s) printed from MQA/JPA website.
6	Original AND a copy of Identification Card / Passport.
7	Original AND a copy of Job Confirmation Letter, if stated in the programme's entry requirement.
8	Two copies of completed UKR 19 Form.
9	Evidence of payment (Minimum payment + Processing Fee). UG : RM 230/- PG : RM 550/-

Kindly submit the document(s) marked with 'X' soonest to ensure that you have completed the registration procedures. Please be reminded that delayed completion of registration may cause disruption of services.
Those who have completed the University's Registration Procedures and have met the programme's entry requirements will be given a Confirmation Letter that will denote him/her as a fully registered learner.

REGISTRATION CHECKLIST : OFFICE USE

Name	: Mohd Mezlan Bin Hamat
NRIC	: 700521065027
Registration Status	: [ ] Register [ ] Pre - Register

No	Items	Received / Reviewed
1	National Identification Card (NRIC)
2	Conditional Letter of Admission.
3	Completed Declaration Sheet.
4	Original AND a copy of RECOGNISED academic certificate/s.
5	The verification of recognized certificate(s) printed from MQA/JPA website.
6	Original AND a copy of Identification Card / Passport.
7	Original AND a copy of Job Confirmation Letter, if stated in the programme's entry requirement.
8	Two copies of completed UKR 19 Form.
9	Evidence of payment (Minimum payment + Processing Fee). UG : RM 230/- PG : RM 550/-

Doc Status : INCOMPLETE	Doc Status : COMPLETE
Received by : Name : Date :	Received by : Name : Date :

Doc Status : INCOMPLETE	Doc Status : COMPLETE
Received by : Name : Date :	Received by : Name : Date :